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Individual

CHRIS A HERBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
403 E 1ST ST, DIXON, IL 61021-3187
(815) 288-5531
(815) 285-5558
Mailing address
403 E 1ST ST, DIXON, IL 61021-3187
(815) 288-5531
(815) 285-5558

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
209020686
IL
363LF0000X
Family Nurse Practitioner
Primary
209020686
IL

Other

Enumeration date
01/14/2020
Last updated
11/12/2024
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